| NPI | 1992149702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME122411) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S3846) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2013017412) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S3846) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD450444) | |
| 208M00000X Hospitalist (Licence: TX S3846) | |
| 208M00000X Hospitalist (Licence: MO 2014001408) | |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2024-01-02 |